Interrater and intra-rater reliability of the VERA-2R tool.

Introduction: The Violent Extremism Risk Assessment - Version 2 Revised (VERA-2R) is an evidence-based structured professional judgement (SPJ) tool for ideologically motivated violence. Use of the tool can help professionals in risk assessment and risk management of suspected and convicted terrorists and violent extremists at different stages within the criminal process. It is important that the tool leads to reliable and valid risk assessments. Methods: The present study aimed to establish the reliability of the VERA-2R, focusing on the interrater- and intrarater reliability. Trained researchers assessed the interrater- and intrarater reliability, respectively in 30 and 33 cases of Dutch convicted terrorist offenders, on the basis of extensive judicial files. Results: In general, the average amount of agreement on the indicators and structured risk judgements can be classified as good to excellent, for both the interrater- and intra-rater reliability. However, six indicators were found to have low reliability. Above clarifying the reliability of the VERA-2R, this study also showed how the interrater- and intrarater reliability of a SPJ tool can be investigated with trained assessors based on judicial files. This can be of added value, because existing reliability studies often use case vignettes, have a small sample size and/or do not include a stringent training program. Discussion: With this research, we can make more substantiated recommendations on how the VERA-2R can be improved. This could lead to more accurate risk assessments and risk management strategies. However, in order to develop a more reliable and valid VERA-2R instrument, the remaining psychometric properties must also be investigated and published. That will be discussed in a future article.

Using the VERA-2R, professional and organisational aspects.

Introduction: Violent extremism risk assessments of individuals suspected or convicted of terrorism are relevant for legal decisions, in prison and probation settings, and in inter-professional risk collaboration. These risk assessment reports by professionals should be applicable to and usable for the different judicial contexts. Informal and formal clinical practice evaluations, in the form of practitioners feedback and standardised evaluation of professional violent extremism risk reports are needed to gain insight in the use and quality of violent extremism risk assessments. Methods: In this study we examined how forensic professionals from three different countries (Sweden, Belgium and the Netherlands) use the VERA-2R in different judicial contexts. We also investigated which organizational aspects are important for the use of the VERA-2R. We focused on the perspective of the forensic professionals and their judicial organisations. We did a standardised survey among 86 VERA-2R trained professionals and a standardised interview with 20 executives and managers of organizations working with the VERA-2R. Results: This study showed that professionals find the VERA-2R useful for structuring information and speaking a common risk language. However, using the VERA-2R comes with a variety of challenges, both on the professional and organisational level. VERA-2R trained professionals had few opportunities to use the instrument and when they did, they were not always offered regular supervision, intervision and booster training. Also, organisational issues in collaboration between judicial partner organisations and the lack of risk transfer information to professionals came to light. Discussion: More research on the topic of risk transfer is needed. Policy implications are advised, for example the development of booster trainings, more organizational support, regulations on re-assessments, providing expertise and knowledge to indirect stakeholders and clear writing guidelines.

Psychopathology in female offenders of terrorism and violent extremism: a systematic review.

Introduction: Terrorism and violent extremism are major social threats worldwide and are committed not only by men but also by women. Previous research has shown indications of psychopathology, among other personal and contextual factors, as a potential risk factor for perpetrating terrorist and violent extremist crimes. Despite the fact that women have engaged in acts of terrorism and violent extremism throughout history, the vast majority of literature on psychopathology so far has been mainly focused on men with terrorist and violent extremist behavior. As women's engagement in terrorism and violent extremism is increasing, and gender differences in psychopathology in offenders of terrorism or violent extremism may exist based on empirical evidence for such differences in offenders of violence, gender-informed research into psychopathology as a potential risk factor for offending is of pivotal importance for improving the effectiveness of counter-terrorism interventions. The present systematic review was designed to examine what empirical knowledge exists on the presence and potential contributing role of psychopathology in female perpetrators of terrorism or violent extremism. Methods: A literature search was conducted to identify primary source studies in PsycINFO, PubMed, Embase, Web of Science, and Sociological Abstracts. ASReview as an artificial intelligence software was used to screen references. Results: In total, eight studies were included, of which only two studies distinguished prevalence rates and types of psychopathology separately for women, indicating personality disorder as most common. All four out of the eight studies that reported on the relationship between psychopathology and terrorism and violent extremism assumed psychopathology to be a contributing factor in engaging in terrorist or violent extremist acts. However, none of these four studies reported on potentially present female-specific mechanisms of the role of psychopathology in offenses. Discussion: The present systematic review draws the striking conclusion that there is a lack of clearly described empirical studies on psychopathology in female perpetrators of terrorism and violent extremism and emphasizes the importance of more future empirically based inquiries on this topic by the forensic psychiatric field. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=275354, identifier: CRD42021275354.

Identifying risk factors for Jihadist terrorist offenders committing homicide: An explorative analysis using the European Database of Terrorist offenders.

Although many studies have examined various aspects of terrorism, relatively little is known about risk indicators associated with specific types of terrorist offences. To partly fill this void, this study explores differences on risk indicators of the Violent Extremism Risk Assessment tool (VERA-2R) between 21 Jihadist offenders who were convicted for homicide and a comparison group of 30 Jihadist offenders convicted for other Jihadist terrorist offences. In doing so, we use judicial data from the European Database of Terrorist offenders (EDT). The results reveal that a number of risk and protective indicators differ between both groups. Both terrorist offender groups often expressed grievances about perceived injustice, but the homicide group more frequently expressed anger, moral outrage, or hatred in response to the perceived injustice than the comparison group. The homicide group also identified their attacks more often than the comparison group, and were more actively engaged in planning and preparation them. Additionally, the homicide group was less often motivated to commit their terrorist offences by group belonging compared with the non-homicide group. With respect to the protective indicators, persons in the comparison group more often reject violence as a means to achieve goals. Although further research is necessary, the results from this study indicate that a differentiated approach might be needed for risk assessment and risk management of the terrorist offender population.

Psychopathology of Young Terrorist Offenders, and the Interaction With Ideology and Grievances.

Psychopathology might be a risk factor for terrorist offending as it is for violent offending. Therefore, we examined the prevalence of psychopathology in young and adult Jihadist terrorist offenders on the basis of primary source judicial information and forensic mental health reports with the European Database of convicted Terrorist offenders (EDT). We hypothesised that psychopathology might be associated with ideological risk factors, and that these associations might be different for young and adult terrorist offenders. Therefore, we examined whether and to what extent psychopathology is related to a violent ideology, to grievances and anger about perceived injustice. We investigated whether this differs among 120 adult and 46 juvenile terrorist offenders. We found that most adult and young Jihadist terrorist offenders with a forensic mental health report had psychopathological problems. Most frequently found were symptoms and traits of intellectual disability disorders, depressive disorders, psychotic/schizophrenic disorders, substance use disorders, and personality disorders. Most frequently found clinically relevant personality traits were problems with relationships, poor regulation of aggression, feelings of anger, and paranoid feelings. We found some first indications for a positive association between psychopathology and grievances and anger about perceived injustice. In the young terrorist offenders with depressive symptoms, grievances about perceived injustice were more often present than in young terrorist offenders without these symptoms. In adult terrorist offenders it was found that grievances about perceived injustice and the anger were related to cluster B personality traits. In addition, in both young and adult terrorist offenders expressed grievances about perceived injustice were related to problems with relationships. Further research into psychopathology in terrorist offenders seems necessary with larger groups of adolescents and adults in relation to ideological, personal and contextual risk factors and how these factors relate to different terrorist acts. This may lead to more knowledge about engagement into terrorism and possible disengagement from terrorism. It may also lead to the inclusion of psychopathology into violent extremism risk assessment tools.

Quality improvement of forensic mental health evaluations and reports of youth in the Netherlands.

Quality improvement of forensic mental health evaluations and reports is needed, but little information is available on how this can be attained, and relatively little conceptual analysis has been undertaken. The STAR, a standardized evaluation instrument of the quality of forensic mental health reports of youth, is developed on the basis of concept mapping to clarify the different perspectives on usability of these reports. Psychometric data are provided, demonstrating the reliability and supporting the validity of the STAR. The Dutch forensic context is described to better understand the development and psychometric properties of this standardized instrument. Quality improvement possibilities of forensic mental health evaluations and reports are discussed.

Crime and mental disorders among native Dutch and ethnic minority juvenile defendants in the Netherlands.

We examined the prevalence of mental disorders and the recommendations regarding criminal responsibility and treatment in pre-trial mental health evaluations requested by Dutch juvenile courts for youths between the ages of 12 to 17. Youths of native Dutch (n=2694) and of ethnic minority background (n=1393) were compared. The prevalence of mental disorders was similar for both groups (76.8% versus 74.4%). Criminal responsibility in native Dutch youth was more often considered 'diminished' or 'strongly diminished' than in ethnic minority youth. Admission to a juvenile institution was more often recommended for ethnic minority juveniles than for native Dutch juveniles. It remains unclear from our data whether these differences reflect a false stereotype of ethnic minority populations as being more dangerous and threatening.

Assessment of violence risk in youth for juvenile court: relevant factors for clinical judgment.

BACKGROUND: Assessment of violence risk in youth for juvenile court needs to be improved. AIM: To determine which items of the Structured Assessment of Violence Risk in Youth (SAVRY) are recorded in pre-trial mental health evaluations and which of these items are associated with the clinical judgment of the risk of violent recidivism. METHOD: A total of one hundred forensic diagnostic juvenile court files were rated with regard to the presence or absence of the thirty SAVRY risk items: ten historical, six contextual and eight individual items, and six protective items. Univariate and multivariate logistic regression analysis were used to examine the relationship between SAVRY risk items and the clinical judgment of violence risk. RESULTS: Most SAVRY-items had been recorded in the files. However, five historical items and the contextual item 'rejection by peers' did not appear in 25-62% of the files. Especially SAVRY items like 'negative-attitudes' and 'psychopathic traits' were the most powerful predictors for clinical judgment of high violence risk. Unexpectedly, historical items played a minor role in clinical judgment. CONCLUSION: Prospective research is needed with the use of SAVRY-items to improve evidence based violence risk assessment in court ordered mental health evaluations of youngsters.